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HomeMy WebLinkAbout0382 PLEASANT PINES AVE 2,j af�? S- UPC 12543 No.5+ 3LOR Ram HASTINCB•IIAN `oFtHEr "� Town of Barnstable HARNSrABLE, : 200 Main Street Tel.(508)862-4038 9$ATfi a INSPECTION CHECKLIST Address '. 382 PLEASANT PINES AVE, WEST BARNSTABLE Inspected on: 12/3/2019 Inspected by: bowerse Inspection Type Description Status Comment Property General Inspection PASS Property has 3 bedrooms in main house two up one down Has kitchenette with stove outlet above garage and full bath above garage one egress out of room above i See pictures this date ; Q I Person in Charge Inspector Signature Signature _ 4. Y vx , I e N il ,�e4 t i . � w - aa �.. still, . .. . n ,MEMO— ImpNOW- _'. r Tt r �4 A, ORA ¢ a� t � e � v R t W>� F � r i� d t r F350.& �f =- - - ~, v 38 A -- �� , � r (�:` .ti �., ..,, �r � �` �. F A �� �� 1 a � �. � s f � t �, � s + ,� t '� • � , ,� �..: _ Engineering Dept. (3rd floor) Map p?/Y Parcel 2 , Permit House# L �� Date Issued i,2l Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 60 ?07 Fee v V •— Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Z Planning Dept. (1st floor/School Admin. Bldg.). ► � Definitive Plan Approved by Planning Board �— 19 n^ J BARNSTABLE. TOWN OF-BARNSTABLE, Building Permit Application !_ Project Street Address 3 g a P L E A S A ty T PINES ' Village �`' C E/V TE 2 V 1 L L Owner -So S E PH - C.R I M M I AIS Address 3 Vc1 P L:t dl'SAWT P1/NES Telephone — 6 a 6 I - , -Permit Request L} •,,e -T A PEA A iV D STEPS a AWD En1TRX WA _3 First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ O Q•0?) Zoning District Flood Plain Water Protection Lot Size Grandfathered "{❑Yes ❑No Dwelling Type: Single Family E6 Two Family ❑ Multi-Family(#units) Age of Existing Structure 13 YEARS Historic House ❑Yes UdNo On Old King's Highway ❑Yes (il'No Basement Type: lJ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Si No If yes, site plan review# Current Use Proposed Use Builder Information Name -:SO S 6 P it M M r Ns Telephone Number 36 a - 6a o 1 Address 3 R�;t PL E 4 S A NT P IIUES License# C S O 6 S/ 6 ,j _C N T€R V I L L E MA . O a 6 Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /a Z CP A 7 BUILDING PERMIT DENIED FOR FOLLOWING REASON(S) FOR OFFICIAL USE ONLY •Y PERMIT NO. � � DATE ISSUED p S MAP/PARCEL NO. -� a• ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION r FRAME INSULATION- FIREPLACE , ELECTRICAL: ROUGH FINAL" - PLUMBING: ROUGH FINAL" GAS: ROUGH FINAL FINAL BUILDING ✓ J`/ DATE CLOSED OUT , 'ASSOCIATION PLAN NO. • snxxsrne�, • 9�ArE��''� The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 16, 1998 Joseph Crimmins 382 Pleasant Pines Avenue Centerville, MA 02632 Dear Mr. Crimmins: In answer to your questions, please be advised of the following: 1. If someone wishes to sell a section of their lot so that it becomes non- conforming for the first time, a variance is needed. Proving to the Zoning Board that variance conditions exist would be an uphill battle, however. 2. If non-conforming and a proposed addition is to a conforming side under our ordinances, this would be allowed. I hope this information helps you. Sincerely, Ralph M. Crossen RMC/lbn g980616a I' �' (_ J I i 382 Pleasant Pines Avenue Centerville, MA 02632 June 3 , 1998 Dear Mr. Crossen, A problem has developed involving 25 square feet of property owned by Mr. and Mrs. Manuel DePina of 364 Pleasant Pines Avenue in Centerville. What I need from you is a letter stating that some of the facts are incorrect in lawyer Frank Frisoli ' s corespondance. This letter would include that Mr. and Mrs. Manuel DePina do have the right to sell the 25 square feet to Mr. Joseph Crimmins of 382 Pleasant. Pines Avenue in Centerville. But approval would be needed from the board of appeals, because the lot ff'ontage would be decreased from 150 feet to 140 feet at 364 Pleasant Pines. This would create a non-conforming lot. Also, this letter would include an explanation that a building permit for Mr. and Mrs. DePina could be issued for a future addition to their house, but setback requirements would have to be met. The 25 square feet in question are .not located near Mr. and Mrs. DePina' s house (see plot plan) , so this would not have a bearing on whether a building permit would be issued. I spoke with you on February 11, 1998 and you confirmed that a , house may expand by adding an addition if the setback requirements are met even on a non-conforming lot. This letter may be sent to me at 382 Pleasant Pines Avenue, Centerville. I would like to thank you in advance for your co-operation, and for any inconveniece this might cause you. Thank you, again. Sincerely, (c Joseph R. Crimmins Jr. FRISOLI AND FRISOLI ATTORNEYS AT LAW 797 CAMBRIDGE STREET CAMBRIDGE, MASSACHUSETTS 02141 (617) 354-2220 Facsimile(6171 354-6939 FRANK J. FRISOLI, JR. LAWRENCE W. FRISOLI, P.C. KATHARINE M. BERLIN May 27, 1998 Joseph Crimmins Jr. 382 Pleasant Pines Avenue Centerville, MA 02632 . s RE: 382 Pleasant Pines Avenue, Centerville, MA BY CERTIFIED MAIL RETURN RECEIPT REQUESTED Dear Mr. Crimmins! Please be advised that I represent Mr. and Mrs. Manuel DePina who own the property abutting your property to the east. I have been provided with a copy of a plan purportedly prepared for you by Down Cape Engineering Inc. which notes an encroachment of your driveway onto the land of my client. My clients' land is shown as lots 4A and 5A on said plan. Your property is shown as lot 4 . You have inquired as to the possibility of purchasing the area shown as lot 4A on this plan from my client. Upon review of the plan I am advising you that my clients do not have the legal right to sell this land to you even if they wished to do so. Present zoning law precludes such action. It is my understanding that at the present time a minimum of one hundred fifty feet of frontage is required under the applicable zoning bylaw for buildable lots in the district in which the lot is located. I believe that my clients' lot presently conforms to the applicable zoning requirements of the Town of Barnstable. Were my clients to convey lot 4A to you, they would be reducing the frontage of their lot below the minimum required by the town bylaw. . Such action would not be permitted under the current zoning bylaw. Under the General Laws of the Commonwealth of Massachusetts, my clients would not b entitled to secure a variance to allow this, since under state law variances cannot be granted to change a conforming lot into a nonconforming lot. The Town will refuse to approve for recording any plan which reflects the division of my clients' property as you have proposed. T 14E VWDEKLINED STRTEMkN r IS NOT TRUE! .R- C. Joseph Crimmins Jr. May 27, 1998 Page Two It is my understanding that your use of this portion of land commenced sometime after 1984 when my clients purchased their property. Your use of this portion of my clients' land has been with my client's permission until the present time. In order to protect my clients' rights, it is necessary that this matter be now addressed. Accordingly, I am notifying you that in the absence of a written agreement to the contrary, the permission of my clients which permitted your use of their land shown as lot 4A on the above referenced plan is revoked as of August 1,. 1998. You should take appropriate steps to cease your use of my clients' land by that date, to remove any portion 'of your driveway which encroaches upon my .clients' property and to restore the. land to the condition in which it was at the time the encroachment was created. If you wish to discuss this matter further please contact me either directly or through 'your attorney. My clients would prefer a peaceful resolution of this matter. Should you require additional time to resolve the encroachment, I would be happy to discuss an extension with my clients. In the event I do not hear from you by .August 1, 1998', I will be advising my client -to take appropriate steps to protect their property rights, which may ¢ include construction of a fence along the property line. I must emphasize that we are looking for a peaceful resolution of this issue. I. look forward to hearing from you or your attor ey in the near future. a Very t o t w Fran J. r ' of Jr. , Esq. FJ F: �- cc: Mr. and Mrs. Manuel DePina The Town of Barnstable Department of-Health Safety and Environmental Services .� Building Division 367 Main Street,Hyannis MA 02601 Ralph Office: 508-790-6227 Commis Building Fax: 509-790-6230 For office use only Permit no. Date AFFIDAVIT HOME EMPROVEMENT CONTRACTOR LAW MMpLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation,' repair, modernization, conversion, improvement, removal, demolition,least one but construction of an than fourn to any dwelling units artng to owner occupied building containing structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirementL L Type of Work_ � Est.Cos Dz Address of Worlt: L�F_� ------- Owner's Name L- Date of Permit Application: Lt `�� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _Job under S1,000. Wing not owner-occupied __wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE OGRAM OR G HOME �iJRARANvF[T WORK DO JND UNDER MGLO 14ZA � ACCESS TO THE ARBITRATION SIG.YED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. ✓ a — Registration No. Date Tl�c• Cl11111111111t1•ealth (if Massac'lrusem %f- DefllrrllllL•111 of Ltdttstrtal.3ccitlefrts "•� �iii:{:_=f 688 If UAhigum Street Workers' Compensation Insurance Affidavit tniic�nt infnrntatinn Plc^�e PRIN1T'le�►�i�iv � Inc'•�nr• • �. nhnn•�' I am homeowner perfornin all ivori: myself. 1 am a soil: oroprie:or and have no one working in anN' capacity I ar,: zn tmmiover providing^workers' compensation for my empiovecs working on this job. rnnm••rn• •t•:•nr• iti err c- rtr� nhnnc d- in�nr-•trr rn nnlicv i! _ a • z°oie trot vie: ;cnerai contractor. or homeowner[,circle oiie� and have hired:he ccni—mc:ors lined below •a•cc the 'moilowin_ workers ce^:-_e^sation polio.-_: cnr^^..�� -'••ter• 1 ti�irr«• nhnnc d• nniiry-j 72 rtt� nhnnc d• inx,:r-nrc rm. nnliev d 3ddition2i shce:if neccssarr— ' .apt•= ..w...�. F::11urr :n secc:rc cut-cr-cc::s reeutrcu unucr_ection=`A of MGL 15Z:an 1C2d to the lmposlltOn of ertmtnll penai11C3 01'0 lineup 10 SI.SOU.UU:nu:c: unc c-rc' ;mr.rt.unment ::. %%Cil its ci%-ii pen2itic3 in the form of a Si OP«'ORI:ORDER and a the vfS]QU.oU dad against me. I understand t�=t-. cony -if mi.. .tatc.,:tcnt mat be furw nrdcu to the Orrice of Jnvcsti¢=ttons of the 01A fur coverare verification. l 110 arr,.^,1';�r7!/� ;ulrier"he^rlilrs'711d pellaitics njperjun_•:hat the information provided above is true mid correct. ✓ Oatc n..-. _ Phone t* tl •tt�T i usent% do not write in this arcs to be completed bY ciry or town ofriciai i permitilicense r r-'tluildin_Department City,Ir inn n: : [Licensln_ Board — c^ccs if imtnctiatc respunsc a rcuuircd C Jelertmen'�Ufficc t [ttcaith Departmcrt phone=• '-Other Infortnstion anu instrucrtocts Massac"Iusctts CjenL: -::i Lzxvs chapter iS: section _'s requires all employers to provide ,vork-cn employees. As quoted loom the "ia��". an c•»rptorce is defined as even, person in the service of Cot:;mcl of hire, =:press or implied. onf or Nvrincn. An c•nrfrinrcr is dc:ined .s all individual. partnersihip. association. corporation or other Ie-1a1 entity. or an\' : -o cr the rurC_cinu Cn__.^.__•d in a joint enterprise, and inc!udinc the legal representatives of a decese-.3 employer. or rccci\'cr or tnistee of an individual . partnership. association-or other le_al entity. employing, emplovecs. Ho.�e•. oNvner of a house hayin: not more than three apartments and who resides therein. or the occ::nant of d«c;!in_ !house of an�th�: ��'ho cmpfoys persons to do maintenance ;construction or repair wort: on suc!: or cm the _rounds or !luiidina appurtenant thereto shall not because of such employment be deemed to be :n _I%mic: ':= scc:ion =5 also states that every state or local licensing a;cncy shall witl:liuld the issu:ncc o. of:I license or permit to crlherzte a business or to construct buildings in the commumwealih Cor :r:} c::nt N%•ho ltas not produced acceptable el'idence of compliance with the in cove rabc rcquire.i. �c ..ionail�, ncithe: the commonweZlth nor any of its political subdivisions shall enter into any contra for:!he rmc::cc of public .vori: until acceptable evidence of compliance with the insurance requirements of this ,oresc::ICc to the contrac:inc authorin,. 77 AppiicLnts :-Iil in :he workcrs• compensation affidavit completely, by checking :he box that applies to your situa:ic;: c: cornpzny :lames. address and phone numbers as all affidavits inav be submitted to the DeYartmcr.: of n•� trici .Accide:as ;or :ent;rmation of insurance coyem_e. Also be sure to si;a and date the atTicial'it• Tile it _ihouid be re:u:::ed :o the cin' or town that the application for the permit or lice^se is being requests-- C ;:C �CC T;le::t JI !lhu'JSt:;al ,�CC;de.^.t5. Should you have any Quezrions re_:rdina the "law- or if you are '_ : : �b:Z:: policti. please cell the Department at the number listed be!o%%'. C:ty .)r To vns ?ie e :u:2 :h-: :he -f;;c^. it is comp!e:e and printed legibly. The Department has provided a space at :he bot:c - ;i:c :' aa�;t or %•eu to fill out in the event the Officc of Investigations has to contact you re_ardin_ the appiic:n:. be _ : :o till in the cer:hitilicense number which wiiI be used as a reference number. The affidavits may be by mail or =AX unless otlicr arran_ements have been made. ci nyesti_aticns ,%ou!d like :o thank you in advance for you cooperation and should you have any cues: do riot !hesitzte :o uive us a call. i:e address. teiepi;one and fax number: TIhe Commonwealth Of Massachuserts Department of Industrial Accidents f _ Office Uf Investigations 600 Washington Street I3oston. I11a. O2111 fax 0. (617) 72'-7 7 49 -ii;(_,ne =. 6 i , -- '90() PRO Ras E D ,/ c K ; ' • . . •� s7'EPS EX IST1 rJG- .. G- A R A • w l -T a c R_ s�. ST© R A GE CONSTRVCi otJl A (30VE QERM�T� � . . CLOSET to i • i :�� ,,•: ,: N uSE 1 �a •..•9 a- 1 16 a SCALE. S A- • e 40 I�.r N go S ao C6 m a 40 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . . • . DATE JOB LOCATION Number Street address Section of town "HOMEOWNER" 1r c3�2,- - 0/2--a N e e Home phone Work phone • PRESENT MAILING ADDRESS City town State Zip code The current exemption for "homeowners" was extended to include owner-occso_ ' dwellings of six units or less and to allow such homeowners to engage an in dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (sj who owns a parcel of land on which he/she resides or intends to r side, on which there is, or is intended to be, a one or two family dwelliZc attached or detached structures accessory to such use and/or farm structure: A person who constructs more than one home in a two-year period shall not bE considered a homeowner. Such "homeowner" sha11 submit to the Building Of_i: on a form acceptable to the Building Official, that he/she shall be resoons_ for all such work Performed under the buildinc permit. (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the uilding Code and other applicable codes, by-laws, rules and regulations. he undersigned hOm20WIIEr" certifies that he/she understands the Town of arnstable Building 'Department minimum inspection procedures and requirement nd that he/she will comply ith said procedures and requirements. 30MEOWNER'S SIGNATURE . 0'_41� C4__Ll� 4,_ PROVAL OF BUILDING OFFIC AL ote: Three family dwellings 35 , 000 cubic feet, or larger, will be required o comply with State Building Code Section 127. 01 Construction Control. i HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which- wtzbuilding permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a persons) for hire to do such work, that such Home Ow;_ shall act as supervisor. " Many Home Owners who use this 'exemption are unaware that they are assuming the responsibilities of a supervisor, (see Appendix Q, Rules and Regulations for . licensing construction Supervisors, Section 2. 15) . This lack of aware.^_: often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the :.nlicensed person as it would with -licensed Supervisor. -The Home "Owner. act_ as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, ma communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On t last page of this issue is a form currently used by several towns. You may :are to amend and adopt such a form/certification for use in your community. 1 Engineering Dept. (3rd,floor) Map Parcel ig G 7 Fdf. Permit# House# 3$a.FJ} pate Issued Board of Health(3rd floor)(8:15 -•9:30/1:00-4:30) Fs Conservation Offick(4th floor)(8:30-9:30/1:06-2:00) Z �"'13Y SINE neit�Ve Plan Annrrsy11 Fillyntinc -a 1 19 �F� 7 b : BARNSTABLE. ' 1 • . MASS. ' TOWN OF:BARNST"LE F°"°''�� Building Permit Application Project Street Address 3 P a PLEASANT P 1 kas Ave:- l awy LdT-# 4 Village C E NT E P V b L L C , Owner -J o SF PN R C- M M t n/5 3 R Address 'Telephone 3 6 c;- " w ao Permit Request O /a AbDiTloN CILoS4 E hio 10614 i- Q 1fZ.(1C)AILS First Floor square feet Second Floor square feet Construction Type U o D F R A M C Estimated Project Cost $ U60 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family (1 Two Family ❑ Multi-Family(#units) Age of Existing Structure +3 Historic House ❑Yes ®No On Old King's Highway ❑Yes RJ No Basement Type: m Full ❑Crawl ❑Walkout ❑Other , Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name 1 oS 6 P I P,- C R 1t1k M 1 KS 7 PI• Telephone Number .3 6 a — 6 a-O I Address 3,02 PL E"1 Sq N T P l IV65 License# C S 0 & 5 1 6 5 Ce N Te—; R V t L L E MA p oZ69,;i.- Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREL- r,,��J—DATE Z16 1 g BUILDING PER IT DENIED FOR THE FOLLOWING ASON(S) b s FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ` c DATE OF INSPECTION: FOUNDATION FRAME [ _ INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL', i GAS: ROUGH FINAL_ -i1 FINAL BUILDING _ DATE CLOSED OUT ASSOCIATION PLAN NO. F� �TMe r The Town of Barnstable • BAe=A= • ' �a Department of Health'Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissione: For office use only • I Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION' MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Aj Type of Work: vC / Est.Cost . 0� Address of Work: Owner's Name Qty:50� Date of Permit pplication: 1 hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. iding not owner-occupied caner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the gent of the owner. �/ Registration No. Date OR The Commonwealth of Massachusetts • ;; • ---. 1:_ Department of LrdrrstrialAccirlcnts h00 if aAh"non Street Bt/slttn. A 1' ass. 02111 Workers' Compensation Insurance Affidavit i li :iritirifortnatitin'• - P1i;, a PRINT'le-i6j"'""" name: vJ Q.S& P d R C M tV S s t\ location- 3 Pa PLEA S A N`` P L N S C„• C G N 'T E R V I L L.(_, , M t4, nhonc t G a o 1 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity • .. -vr. ..rwl--.�rP_•..-......_..n.__•-;7.rvn�.f+_4rCT���T�.w�.. ,w,.+'w'T!��^� ..w.*...r... � -.yw+wr..__... [j I am an emplover providing workers' compensation for my employees working on this job. cnntn:tnv name: add reps• city: nhonc k• . insurance co. Polio•0 [I 1 am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: addres�• sits•: shone�• insurance rn. policy a cmmnnnv nntnc: address: sin nhonc i!• insurance co. nolicy# Attach additional sheet if necessary_ i^- s - + - 777 7. 2 %� '' "- =r T --' Failure ut secure coverage as required under Section:SA of f1IGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur une%cars• imprisonment:IX t 01 as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the omcc of Invcstigztions of the DIA for coverage verification. 1 do herehr ccrtifi•rrtttler the pains and penalties of perjuty that the information provided above is true a►td 19-7 CoMCI. Si_naturc Date ? ( 1�O Print name DOSE N R. C.Pt MM nNS _TR . Phone* 3(Ocp-— ' official use unly do not write in this area to be completed by city or town ofTicial city or town: permit/license q rntluiiding Department C3Liccnsin",!Board check if immediate response is required aSclectmen's Office C311calth Department contact person: phone#: rnAlher �. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for tic: employees. As quoted from the an cnrpluree is defined as every person in the service of another under ar►v contract of hire. express or implied. oral or written. An emplorcr is defined as an individual. partnership, association. corporation or other leg"al e»fity. irr.anv two or nor, the foregoing_ cnuaged in a joint enterprise• and including the le�,al represcntati�-cs of a,deceascd employer. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owllbi,of a dwelling house having not more than three apartments and-whb resides•theiein*. or the oc6upaht.of the d\\.clling house of another who employs persons to do maintenance , construction or repair work on such dwellin',,, ho_ or on tile grounds or building appurtenant thereto sltall not because of such employment be deemed to be an empio%,e- MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance of- renewal of a license or permit to operate a business or to construct buildings in the commoni•ealth for any applicant who ltas not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants i Please fill in tiie workers' compensation affidavit completely, by checking the box that applies to your situation and supplying: company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are require- to obtain a workers' compensation police. please call the Department at the number listed below. - City or rowns Please be sure that the 'affidavit is complete and printed legibly. The Department has provided a space at the bottom o: the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plez be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questior please do not hesitate to `ive us a call. - The Department's address. telephone and fax number: The Commonwealth Of Massachusetts , + Department of Industrial Accidents Office of investigations - �+ 600 «'ashington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . '__DAB r JOB LOCATION r Number Street address Section of town "HOMEOWNER" _ l Nc#e Home phone Work phone - - PRESENT MAILING ADDRESS '' •-.' Clty town State Zip code The current exemption for "homeowners" was extended to include owner-occupies dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Offic_ on a form acceptable to the Building Official, that he/she shall be resuonsi} for all such work performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the St Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands ..the Town of � Barnstable Building Department minimum inspection procedures and requirements and that he/she will comp with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35 , 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 01 Construction Control. i s .. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if . Home Owner engages a person (s) for hire to do such work, that such Home Owne: shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix 0, Rules and Regulations for .licensing Construction Supervisors, Section 2. 15) . This lack of awarene= often results in serious problems, particularly when the Home Owner, hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home " wner* actir. as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. , r Of BE co 7 QT�aSo� h SUR��I L 0 � T r �VAL 7/4 AA (31. C \ i Q. to �s b o V\ �- V { o f tv.% o\ Q/J F .9 , srr- Q SET OF A14 Aj 10 r ORSE v> la s q 2 U No.10951 O srotIM- s y7Q� • :.::ter C:L LEGEND - EXISTING ' SPOT ELEVATION OxO ��� CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 --� /- v -1 q FINISHED SPOT ELEVATION FINISHED CONT.O-VR - 0 E IN APPROVED + BOARD OF HEALTH I j3 h 5 \ 1 I DATE AOENr SCALE, / �= 40 ' DATE, ly. LDREDGE ENGINEERING CO. IN CLIENT !'"l-o,we I CERTIFY THAT THE PROPOSED EGISTERE [:R ISTERED JOB N0. *3 0 6 6 BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER EY DR.BY+ '�f'� OF BARNS7-RE BL + MASS. 712 MAIN STREET CH. BY, NYANNIB, MASS: SHEET r OF Z DATE LAND SURVEYOR EILINC ax � wA�LS =rlSULATI i i aX A FL©�R S-or S�TS • I ri' L'.:a.� Iv6 la E LosET PRoPosFr� _ • • ADOCTION *j A if w L0 7- � N . 4oT o N J •O ��E�-TRi'c. O n1 O W COM M d Al IA/ ASE/hE/✓T Na LOT S .41 up /O s . VN RF S_ E is/�S SacKs' F CERTIFIED PLOT PLAN LO T 4 5-H.0 Ft Yl•✓G f/icc• A Ef /✓TE-X L//L 4.E IN SCALEo / y= 40' DATE 1/ 1.18 3 �gx LYOLoq 14 ' ����A �As��cy I CERTIFY THAT THE ERE D RE818TEALD C`1T " ;' o� �,� SHOWN ON THIS PLAN IS LOCATI ;R08ERT L LAND Joe NO. ,3;, � ��E y ON THE GROUND A9 INDICATED ANI E R 8UAVEYOR DR.BYE (LORE° � ,,q;.iJ, ,:,; ONFORMS TO THE ZONING LAWS 'OF BARNSTABLE j MASS. I2 MAIN 'STRELT CKRY$ . Nvsuit * H YA N A I S, MAS 8, 8iIEET.L 0!',.!,. ATE REG.!LAND SURVEYOR OA 1 a ax o&C 45 fL A F TE RS (a) is \ ti IN M i rniG AD P IT I en E x rs -r I • Sc � LE . s 1 co mlJ pj D&E � X � o P AFTE RS � a E X� jj X po S p g-AM aXE vV/ALLS �6 a x t. P.T: 3 LooR SILL FOR GIRT S-O ISTS 1 JL" POO960 C RET6 FeuNDA�/o�Y 1 r L( " F®oT IM( Assessor's offioe (1st floor): ^� '/ SINE Assessor's map ,and lot number .... .�. ..... ../........ �f vEMC SYffEM MUST BE Board of Health (3rd floor): . — r0 INSTALLS® IN CONIP�.t Sewage Permit number ................... s' � •��= , .................... WITH TITLE 5 : 13AWSTODLE. i Engineering Department (3rd floor): ENVIRONMENTAL Cr0®� ; ;w�Q moo° Ma79 House number ..................................................... '° O NO d. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only, TOWN REGULATIONS TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... .ROE. .t w!4.Y.....f.. A.R..:g.&.e........................................................ TYPE OF CONSTRUCTION .........•W,ROQ....... R. f!� .................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the f I wjg inform - /�j Location ..3.. .a.......f..�.��s.!� ....... .�.A/C.5............. ..Gn/�T�FP�u�LIC.J.....:..1. .-.....©. �s3.�...... Proposed Use .... ../..N.&LE .... M...l.�.�.........�..�'........�.�.�..:..................................................................... ............ Zoning District ........ r...' ...................Fire District ...!!Y. ST.... RIVS -424LE Nome of Owner Tos4PH.....'l�.r..C�-.Q�.M.M./.N..S.. r'�...Address ,3R..i .....P .. ......PI O.................... Nomeof Builder ..... .A.? 4 ................................................Address .................................................................................... Nomeof Architect ..................................................................Address ..................................................................................... Number of Rooms .....,.. t...6-A.R.Pf6-iE........................Foundation ... ..PQ.. .QEA.... Con1C (ZETA . . ........................... Exterior ...4 t/ R �C. CLAPBeAft....-t- BA0ZN8o>3Rb Roofing .....$.....r- I1E2 G LASS ................................................................... ®D Interior E6-T 20C Floors k/........................................................................... .� K Heating - Plumbing N. Fireplace .......Y.�s.................................................................Approximate Cost ..... ..6®0 ........................:...... Definitive Plan Approved by Planning Board ________________________________19-------- - Area ........ ...4............... Diagram of Lot and Building with Dimensions Fee Da SUBJECT TO APPROVAL OF BOARD OF HEALTH i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name)o.:�e_ . .... . .....�.A....... Construction Supervisor's License .................................... CRIMMINS, JOSEPH R. JR. N 318 Breezeway...&..Garage o ...... lsl... Permit for ....................... Sincfle Familv Dwelling........ Single.. ................. ..... Location 382 Pleasant Pines................................................................ West Barnstable ............................................................................... Owner ...Joseph...R......Crimmins, Jr.... .. .. .... .. .. .. . .... .......... .. . Type of Construction ........Frame.................................. ......... .................. .................................................... Plot ............................. Lot ................................ nted .....A....r i.1....1.4............. 88 Permit 'Gra P.... .. Date of,.-Inspection ....................................19 Date Completed ......... ... . .................I...19 CIO 0 ra tc t th Assessor's off ioe (1st floor):, THE Assessor's map 'and lot number .... -'.D. T°`o Board of Health (3rd floor): a " Sewage Permit number ......... -� 1.7 1...........`..... ..............� Z 13AUST0ALE. i Engineering Department (3rd floor): �o rasa ♦° House number O �6}9• �0 .............. ......................... o�a-4°r APPLICATIONS PROCESSED 8:30-9:30 .A.M. and 1:00-2:00 :P.M. only TOWN � OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....B:,R,t E Z G w A Y...... ... .I G A R..A9.6 C . .. ......... .. .............................................................. TYPEOF CONSTRUCTION .........1n/OOD........ .R. ►P `.................,.................................................................. AP.K(L.....1. .......................19RR. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit- according to the following information: a AS N ( NCS C.E T�RV ISLE M a63� �P.1._ .......A.....T ........©Location ................................................. ............................�.............. ........................ Proposed Use ... 5.. . '.L .........T. .M...�.('-.V.........0 IN C C-L t 6V r- Zoning District ........ et. Fire District S B /VS �L ........... ...................................................................... Name of Owner OS.CP .....R OAK ...Address 3k .....PL.6•i9;SA/UT......PI NES Nameof Builder ...... ................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms I t G A R A &E Foundation .....�0 U R i✓A Cony C R ETG .............................................................. . Exlerior ...y r! R �c CLAP8oARD.. :.i-.. BAR!UBoARn Roofing .....��..... I R R G LASS ..... .......... .. ... ... • Floors w�.�.D.................................................................Interior ..S'?`t T /�o C-K ....................................................... Heating ..�.L.�cT:R.f C.......:........'.........'...............:. , Plumbing 0'/1/.C' ::........................:.............................. Fireplace ..........C....`.......................................I..........................Approximate Cost .....�By..00o........................................ Definitive Plan Approved by Planning Board _______________________________19-------- . Area ..1.6.X..�6..... �.z....... Diagram of Lot and Building with Dimensions Fee o� SUBJECT TO APPROVAL OF BOARD OF HEALTH i t OCCUPANCY PERMITS\REQUIRED FOR NEW DWELLINGS 1' hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . . ... ..........`...... .......... ,�T...... r V Construction Supervisor's license .................................... CRIMYPINS, JOSEPH R. JR. A=214-067 No 31811... Permit for ....Br eezeway & Garage ..... ..................... SinglSingle Family...Dwelling e..................... ................ Location ....382 Pleasant Pines ............................................... ............ West Barnstable ............................................................................... Owner .....Joseph R. Crimmins, Jr. ............................................ Type of Construction ........Frame ............................. ............................................................................... Plot ............................ Lot .............................. Permit Granted .......:AP-K.il.... .........19 88 , Date of Inspection ....................................19 Date Completed ................................... 19 ! t b �„o•„ _ TOWN OF BARNSTABLE p.11 No. 25736--__ o Building Inspector I swrr,n Cash ___------ $ OCCUPANCY PERMIT Bond ___.__l.__________.____. Issued to Joseph (rims-ns Address tw tat- 4 392 P14asaAf P�xthS'A�xx�a�.' GJr�at�arx��i�xl1� i / '� Wiring Inspector � ; �,Inspection date Plumbing Inspect Inspection date Gas Inspector /� n Inspection date �1 i ,Engineering Department Inspection date f Board of Health Inspection date I � THIS PERMIT WILL/NOT BE VALID,_AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE'WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. / ` Building Inspector o</7S ,Assessor's map and lot number .. �r��,. ? ......... THE >o� Sewage Permit number 0....... ....%vu6 ' ......C...�. Z DAS39TADLS House number i ............................ v�,o,rb 9 \0� , TOWN OF BARNSTABLE BUILDING ' INSPECTOR Ji'�'�r / APPLICATION FOR PERMIT TO � •�� � � �'`f ......: 'c TYPE OF CONSTRUCTION ..... ��1�n/ ........:...............................PCs ' ................................................................ ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. /�,.:'. ......... - :di .J .:�..........:.�!.... `3...........��......�:����... `.t �............................... ProposedUse .................... ..C!i ......... �r.4. .: �'? ..7........................ ... ............................................................. ZoningDistrict ... ... ........................................................Fi a District ...............�............................................................... Name of Owner air!/i....� ?!�v��.,.:, Address .... � �L /i.�f� ��.7...... /`7 �.•�, .. .. .... .... ....... .... .. ` s" s Name of Buildei ....... ........Address , Name of Architect�6 "-- . �� �!� .......................J Address t,�'. -��?� ..... �'!f ".s ..... ...... Numberof Rooms ......../.........................................................Foundation .............................................................................. Exterior`... .. .......................... ........ ...... ... !fJ. �dlr�l.........._ �� :...:....-�...... .... ..... ...... .Roofing :.. ..�.. , Floors '/,�'„���//✓1., ^.....'...�..'..` ."�.`.'� ':. ........ '�1................................................ Interior .s. Heating •r/......:C ....... .Plumbing . ..... '�� /lc:i r .•ice ....................... Fireplacer��~, ..........................................................Approximate Cost ......... .� ... .� ...� .... ............................. ` .e Definitive Plan Apprp%Ged by Planning Board -----------____—-----------19_______. Area .......... ............................... a Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH dol: OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .............. .... .. ................... ,.... :..,... •j Construction Supervisor's License ....�.tP© `,5,p- .� z. - CRIMMINS, JOSEPH A=214-kil 7 25736 112- Story No ................. Permit for .................................... Single Family Dwelling ............................................................................... focation- ...Lot .4.........3.8.2...P.le.a.sa.nt...Pines Ave. West Barnstable ............................................................................... OwnerJoseph Crimmins ............................................. Type of Construction ........F.....ra...m.e....................... .. ..................................................... ..................... Plot ............................. Lot .............................. .November 4 , 83 Permit Granted .....................................19 Date of Inspection ....................................19 Date Completed .........................................19 � Zo 97- A k,'; o / O g m:'. IOCP41-: x'5 Je. . tp� l`}. x hy\ Arf��11O.�u'S`^""_ � �/1 ��� 4-'�I -�/•+ 1wr.� ' ' / ` - T /.S wit/ ;;aAl, ' - - i, ;�lf�..s?'`/�,Uhl*f�i'��"'�'.:,a�.�`���''`:� �,/�.�., �it7/ - • '�30 CB FND I CpP6 EXIT ' W pA10 6 c rh Rw� 5 LOCUS ca ELIZABETH POL VAN WILGENBURG DEED BK. 10148 PG. 201 PLEASANT PINES JG � I _J \ m 00 ) Lj WEQUAQUET BEARSE aPOND f- S 6931, DAN MOLENCAMP LAKE ` O �' 79> 40p, DACEY FAMILY TRUST DEED BK. 7417 PG. 185 LOCUS MAP SCALE 1" 2000' �, V o LOT 4 FOR REGISTRY USE ONLY 0. S 69'S m N 69,740 s.f. 018•• BARNSTABLE ASSESSORS MAP 214 PCLS. 67 & 68 Q ' (1.60 ac.) 8.00 E OWNERS OF RECORD 00 ZONING DISTRICT: RF OO W S.N. = 16.5 S 84'S0'15 MINIMUM LOT SIZE: 43,560 s.f. I o " E LOT 4 U? 70.00 ASSESS. PARCEL 67 MINIMUM LOT FRONTAGE: 150 ft. f C\4 I JOSEPH R. CRIMMINS, JR. MINIMUM YARD SETBACKS: ' Z E� 382 PLEASANT PINES AVENUE FRONT — 30 ft. FpTR/c o CENTERVILLE, MA 02632 SIDE/REAR — 15 ft. Z DEED BK. 3905 PG. 306 co FLOOD ZONE: C M'q TE' ` EgSF 3 Z o0 NOTES: LOT 4A IS NOT A BUILDABLE' LOT AND / cn� �� \ �Cq Tj MFNT 0 LOT 5 IS TO BECOME AND REMAIN PART OF LOT 4. ON IL � / o _S � \ J o Z ASSESS. PARCEL 68 LOT 5A DOES NOT MEET FRONTAGE REQUIREMENTS OF N 2p, U/I� �\�\8„ E \ o ca Z MANUEL & FILOMENA DEPINA CB/FND /Ty o o w THE TOWN OF BARNSTABLE ZONING BYLAW. FgSF,f ?71 �0 0 °� 36 WEDGEWOOD STREET �y FNT I--- ,�� N m EVERETT, MA 02149 ,0 47•�8 DEED BK. 6431 PG. 117 w CO o -2726546) \ LOT 4A w rn SHED J PLAN REFERENCE: PLAN BK. 368 PG. 55 (UNBUILDABLE) ks" \ o 24 CB FND NN q. . LOT 5A tc� ems, DFCKS 3 i CA > - 53,600 s.f. rn �• 2 irk \ (1.23 ac.) . EXIST. rn LOT 4A DWELL. o S.N. = 18.0 � '�A ?\ �+ (SEE DETAIL) c�+ cn EXIST. (S.N. AREA = 48,844 s.f.) E �p I CERTIFY THAT THIS PLAN WAS MADE IN I DWELL. ACCORDANCE WITH REGISTRY OF DEEDS RULES N 6 AND REGULATIONS EFFECTIVE JANUARY 1, 1976. DETAIL -0 72- ti DECK Nr� NO SCALE �� QS• 9� G�'P� QIF '6 E• , s �-c .3, �447 BARNSTABLE PLANNING BOARD '�� oo �, � � ��P� Q DATE ARNE :ti.'-OJALA'� P.L.S. � CB FND �p �o• F APPROVAL UNDER THE SUBDIVISION CONTROL LAW NOT REQUIRED. �'� �`��• �° �a PLAN OF LAND IN DATE 15r-NJ 1 �� BARNS TABLE, (CENTERVILLE) MASS. PREPARED FOR JOSEPH R. CRIMMINS, JR. off. 508-362-4541 fax 508-362-9880 I 40 0 40 80 120 Ft. down cape engineering, inc. CIVIL ENGINEERS NO DETERMINATION AS TO COMPLIANCE WITH THE ZONING LAND SURVEYORS ORDINANCE REQUIREMENTS HAS BEEN MADE OR IS INTENDED SCALE 1 " = 40' DECEMBER 3, 1997 BY THE ABOVE ENDORSEMENT. 939 main st- Yarmouth, ma 02675 r me JOB# 97-327 __ i